神经根沉降症对症状性腰椎管狭窄症患者的诊断价值  

Diagnostic value of nerve root sedimentation disease on symptomatic lumbar spinal stenosis

作　　者：孙国锋[1] 朱丙烟[1] 王玉海[1] 

机构地区：[1]山东省滨州市人民医院创伤骨科,256610

出　　处：《中国综合临床》2014年第10期1060-1062,共3页Clinical Medicine of China

摘　　要：目的 探讨神经根沉降症对症状性腰椎管狭窄症（LSS）和非特异性下腰痛（LBP）患者的诊断价值.方法 将2010年1月至2013年6月来我院住院或门诊治疗的腰腿痛的180例患者分为LSS组和LBP组,每组患者90例.对比两组患者神经根沉降所出现的概率.结果 在LSS组中神经根沉降症有84例（93.3％,84/90）,而LBP组无神经根沉降症发生,两组比较差异有统计学意义（P=0.000）;两组疼痛视觉模拟评分（VAS）的比较差异无统计学意义（P＞0.05）;LSS组的Oswestry功能障碍指数（ODI）低于LBP组（0.60±0.05与0.66±0.06）,两组比较差异有统计学意义（P=0.021）;LSS组的代表性区域面积（CSA）（68.9±7.0） mm2显著低于LBP组（168.2±13.8） mm2,两组比较差异有统计学意义（t =26.173,P=0.000）;ODI与CSA两者之间无显著的相关性（r=0.18,P=0.098）.结论 阳性的神经根沉降症较高地出现于LSS患者中,阳性的神经根沉降症可以作为诊断LSS的参考指标.Objective To explore the diagnostic value of nerve root sedimentation disease to symptomatic lumbar spinal stenosis （LSS） and nonspecific low back pain（LBP）.Methods One hundred and eighty lumbocrural pain patients in the People＇s Hospital of Binzhou from Jan.2010 to Jun.2013 were divided into LSS group and LBP group,and 90 patients in each group.The rate of nerve root sedimentation in two groups was recorded.Results There were 84 cases（93.3%） with positive nerve root sedimentation in group LSS,while 0 case in LBP group,and the difference was significant （P =0.000）.The pain visual analogue score （VAS） between the two groups were no significant difference （P 〉 0.05）.The Oswestry disability index （ODI） in LSS group was （60.3 ± 5.1） %,lower than that in LBP group （66.4 ± 6.3） %,and the difference was statistically significant （P =0.021）.Cross-sectional area （CSA） of the LSS group was （68.9 ± 7.0） mm2,lower than that in LBP group （（168.2 ± 13.8） mm2）,and the difference was statistically significant （t =26.173,P =0.000）.There was no significant correlation between ODI and CSA （r =0.18,P =0.098）.Conclusion The nerve root sedimentation disease is higher in LSS patients and positive of sedimentation disease can serve as a diagnosed marker of LSS.

关 键 词：神经根沉降症 腰椎管狭窄症 非特异性下腰痛 诊断价值 

分 类 号：R687.3[医药卫生—骨科学]